State of Illinois
92^nd General Assembly
Legislation

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92_SB0319enr

 
SB319 Enrolled                                 LRB9202811JStm

 1        AN ACT relating to insurance.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        Section 5.  The Illinois Insurance  Code  is  amended  by
 5    changing Section 370c as follows:

 6        (215 ILCS 5/370c) (from Ch. 73, par. 982c)
 7        Sec.  370c.   (1) On and after the effective date of this
 8    Section, every insurer which delivers, issues for delivery or
 9    renews or modifies group A&H policies providing coverage  for
10    hospital  or  medical treatment or services for illness on an
11    expense-incurred basis shall offer to the applicant or  group
12    policyholder   subject   to   the   insurers   standards   of
13    insurability, coverage for reasonable and necessary treatment
14    and  services  for  mental, emotional or nervous disorders or
15    conditions up to the limits provided in the policy for  other
16    disorders  or  conditions,  except  (i)  the  insured  may be
17    required to pay up to 50% of expenses incurred as a result of
18    the treatment or services, and (ii) the annual benefit  limit
19    may  be  limited  to  the  lesser  of  $10,000  or 25% of the
20    lifetime policy limit.
21        (2)  Each insured that is covered for  mental,  emotional
22    or  nervous  disorders  or conditions shall be free to select
23    the physician  licensed  to  practice  medicine  in  all  its
24    branches,   licensed   clinical   psychologist,  or  licensed
25    clinical social worker,  or  licensed  clinical  professional
26    counselor  of  his  choice  to  treat such disorders, and the
27    insurer shall pay  the  covered  charges  of  such  physician
28    licensed  to  practice medicine in all its branches, licensed
29    clinical psychologist, or licensed clinical social worker, or
30    licensed clinical professional counselor up to the limits  of
31    coverage,  provided  (i) the disorder or condition treated is
 
SB319 Enrolled              -2-                LRB9202811JStm
 1    covered by the  policy,  and  (ii)  the  physician,  licensed
 2    psychologist, or licensed clinical social worker, or licensed
 3    clinical professional counselor is authorized to provide said
 4    services  under  the statutes of this State and in accordance
 5    with accepted principles of his profession.
 6        Insofar  as  this  Section  applies  solely  to  licensed
 7    clinical social workers and  licensed  clinical  professional
 8    counselors,   those  persons  who  may  provide  services  to
 9    individuals shall do so after the  licensed  clinical  social
10    worker   or  licensed  clinical  professional  counselor  has
11    informed the patient  of  the  desirability  of  the  patient
12    conferring  with the patient's primary care physician and the
13    licensed  clinical  social  worker   or   licensed   clinical
14    professional  counselor  has provided written notification to
15    the patient's primary care physician, if any,  that  services
16    are  being  provided  to the patient.  That notification may,
17    however, be waived by the patient on a written  form.   Those
18    forms  shall  be  retained  by  the  licensed clinical social
19    worker or licensed  clinical  professional  counselor  for  a
20    period of not less than 5 years.
21    (Source: P.A. 86-1434.)

22        Section  99.  Effective date.  This Act takes effect upon
23    becoming law.

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